Serum epidermal growth factor receptor and HER2 expression in primary and metastatic breast cancer patients
2007

Serum EGFR and HER2 Levels in Breast Cancer

Sample size: 57 publication Evidence: moderate

Author Information

Author(s): Asgeirsson Kristjan S, Agrawal Amit, Allen Claire, Hitch Anthony, Ellis Ian O, Chapman Caroline, Cheung Kwok L, Robertson John FR

Primary Institution: University of Nottingham

Hypothesis

The study aims to analyze serum expression of EGFR and HER2 in paired samples from primary and metastatic breast cancer patients.

Conclusion

Serum oncogene assessments may complement primary tumor evaluations and widen indications for targeted therapies.

Supporting Evidence

  • Serum EGFR levels were significantly higher in healthy individuals than in primary breast cancer patients.
  • EGFR levels decreased significantly from primary to metastatic diagnosis.
  • HER2 levels increased significantly from primary to metastatic diagnosis.
  • 32% of patients showed a change in HER2 expression from normal to over-expression.

Takeaway

This study found that levels of certain proteins in the blood change when breast cancer spreads, which might help doctors decide on treatments.

Methodology

Immunoassays for EGFR and HER2 were conducted on blood samples from breast cancer patients and healthy individuals.

Potential Biases

Potential selection bias due to the nature of patient recruitment and treatment history.

Limitations

The study had a small sample size for tissue analysis and relied on serum markers, which may not fully represent tumor biology.

Participant Demographics

Patients included 57 breast cancer patients with paired serum samples, aged 30 to 86 years, mean age 54 years.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/bcr1788

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